go back

South Carolina rates for HCPCS 0108U

Gastroenterology (Barrett's esophagus), whole slide-digital imaging, including morphometric analysis, computer-assisted quantitative immunolabeling of 9 protein biomarkers (p16, AMACR, p53, CD68, COX-2, CD45RO, HIF1a, HER-2, K20) and morphology, formalin-fixed paraffin-embedded tissue, algorithm reported as risk of progression to high-grade dysplasia or cancer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.31 / $2,186.53 / $2,337.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,950.00 / $4,950.00 / $7,425.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,465.00 / $4,950.00 / $4,950.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.57 / $1,507.95 / $2,513.25